Dr Timothy Earl King, MD is a medicare enrolled "Pain Medicine - Interventional Pain Medicine" physician in Crown Point, Indiana. His current practice location is
11456 Broadway, Crown Point, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 488-0154.
Dr Timothy Earl King is licensed to practice in Indiana (license number 01025676A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215963202.
Physician's Profile
Full Name | Dr Timothy Earl King |
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Gender | Male |
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Speciality | Pain Medicine - Interventional Pain Medicine |
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Location | 11456 Broadway, Crown Point, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1215963202
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 11/11/2015
Medicare PECOS Information:
- PECOS PAC ID: 5395638159
- Enrollment ID: I20111111000486
Medical Identifiers
Medical identifiers for Dr Timothy Earl King such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215963202 | NPI | - | NPPES |
100113830B | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207LP2900X | Anesthesiology - Pain Medicine | 036097585 (Illinois) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 01025676A (Indiana) | Secondary |
208VP0014X | Pain Medicine - Interventional Pain Medicine | 01025676A (Indiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Timothy Earl King allows following entities to bill medicare on his behalf.
Entity Name | Advanced Pain And Anesthesia Consultants, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457387078 PECOS PAC ID: 5294628046 Enrollment ID: O20040714001019 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Timothy Earl King is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Timothy Earl King, MD 425 Joliet St, Suite 400, Dyer, IN 46311-1765 Ph: (219) 488-0165 | Dr Timothy Earl King, MD 11456 Broadway, Crown Point, IN 46307-7106 Ph: (219) 488-0154 |
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